R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Medicationdispense0314.json

Pharmacy Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner

Raw JSON (canonical form)

Dispense for Lorazepam (Rx norm code) - completed with rate range

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0314",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0314</p><p><b>contained</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: id: med0313; Lorazepam 2mg/ml Injectable Solution (Ativan) <span>(Details : {RxNorm code '206819' = 'Ativan 2 MG/ML Injectable Solution', given as 'Lorazepam 2mg/ml Injectable Solution (Ativan)'})</span>; Injection solution (qualifier value) <span>(Details : {SNOMED CT code '385219001' = 'Injection solution', given as 'Injection solution (qualifier value)'})</span></p><p><b>subject</b>: <a>Donald Duck </a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Practitioner/f006</a></td></tr></table><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0315</a></p><p><b>type</b>: Trial Fill <span>(Details : {http://hl7.org/fhir/v3/ActCode code 'TF' = 'Trial Fill', given as 'Trial Fill'})</span></p><p><b>quantity</b>: 1 415818005<span> (Details: SNOMED CT code 415818005 = '415818005')</span></p><p><b>daysSupply</b>: 1 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 25/06/2015 7:13:00 AM</p><p><b>whenHandedOver</b>: 26/06/2015 7:13:00 AM</p><p><b>dosageInstruction</b>: </p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0313",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "206819",
            "display": "Lorazepam 2mg/ml Injectable Solution (Ativan)"
          }
        ]
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385219001",
            "display": "Injection solution (qualifier value)"
          }
        ]
      },
      "ingredient": [
        {
          "itemCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "387106007",
                "display": "Lorazepam (substance)"
              }
            ]
          },
          "amount": {
            "numerator": {
              "value": 2,
              "system": "http://unitsofmeasure.org",
              "code": "mg"
            },
            "denominator": {
              "value": 1,
              "system": "http://unitsofmeasure.org",
              "code": "mL"
            }
          }
        }
      ]
    }
  ],
  "status": "completed",
  "medicationReference": {
    "reference": "#med0313"
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck "
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0315"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "code": "TF",
        "display": "Trial Fill"
      }
    ]
  },
  "quantity": {
    "value": 1,
    "system": "http://snomed.info/sct",
    "code": "415818005"
  },
  "daysSupply": {
    "value": 1,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2015-06-25T07:13:00+05:00",
  "whenHandedOver": "2015-06-26T07:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "7mg IV over 2-5 minutes every 15 minutes as needed",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 15,
          "periodUnit": "min"
        }
      },
      "asNeededBoolean": true,
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255560000",
            "display": "Intravenous"
          }
        ]
      },
      "method": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "420620005",
            "display": "Push - dosing instruction imperative (qualifier value)"
          }
        ]
      },
      "doseQuantity": {
        "value": 7,
        "unit": "mg",
        "system": "http://unitsofmeasure.org",
        "code": "mg"
      },
      "rateRange": {
        "low": {
          "value": 2,
          "unit": "min",
          "system": "http://unitsofmeasure.org",
          "code": "min"
        },
        "high": {
          "value": 5,
          "unit": "min",
          "system": "http://unitsofmeasure.org",
          "code": "min"
        }
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.